| NPI | 1427338748 |
|---|---|
| Former Name | MICHELLE VALERIE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9490043) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5005260) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 221553) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5005260) | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2018-10-24 |